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Organization
YSM MEDICAL GROUP CENTER
Active
Organization
YSM MEDICAL GROUP CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CESAR A MORALES MD (INTERNAL MEDICINE)
(773) 878-6060
Entity
Organization
Contact information
Practice address
4733 N DAMEN AVE, CHICAGO, IL 60625-1442
(773) 878-6060
Mailing address
653 N KINGSBURY ST, CHICAGO, IL 60610-7069
(773) 577-0147
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633361
BCBS PROVIDER
IL
05
—
0360942361
—
IL
Enumeration date
11/02/2006
Last updated
08/22/2020
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